Hemoglobin E Trait

What is hemoglobin E Trait?

Hemoglobin E trait is an inherited blood disorder. That means it is passed down through
your parent’s genes. It occurs most often in people of Southeast Asian descent.

What causes hemoglobin E trait?

Hemoglobin E trait is caused by a genetic defect that is passed down from one or both
of your parents. If you inherited the defect from just one of your parents, you likely
won't have any symptoms. But, you are a carrier of the disease. That means you run the risk of having children with more serious
illnesses related to hemoglobin E.

If you inherited the defect from both parents, it can cause complications, such as:

Hemoglobin E disease. This causes a slight defect in the hemoglobin beta, or HBB, gene. It results in small
and irregularly shaped red blood cells.

Hemoglobin sickle E disease. This is a milder form of sickle cell anemia.

Who is at risk for hemoglobin E trait?

Hemoglobin E trait is rare. It only occurs if you inherit the hemoglobin E defect
from one or both of your parents. It occurs most often among people with a Thai, Cambodian,
Vietnamese, or Laotian background. It can also occur in people of Turkish, Asiatic
Indian, Chinese, and Filipino descent.

What are the symptoms of hemoglobin E trait?

Many people have no symptoms. Those with more severe hemoglobin E related disorders
may have mild thalassemia, or anemia-like symptoms. But, even these are rare. When
they do occur, they may include:

Fatigue

Growth failure

Shortness of breath

Jaundice, or a yellowing of the skin

How is hemoglobin E trait diagnosed?

Hemoglobin E trait is most often found during routine newborn screenings. The specific
test is known as a mean corpuscular volume test and is part of the complete blood
count test. The testing might also include elements such as hemoglobin electrophoresis
or iron studies. A genetic test of the HBB gene may also be done.

If you are a known carrier of hemoglobin E trait, testing is urged before you have
children. If your partner is also a carrier, you risk having a child with hemoglobin
E or related diseases.

How is hemoglobin E trait treated?

In most cases, no treatment is needed for hemoglobin E disease. Sometimes you may
be prescribed folic acid supplements. They help with red blood cell count and the
symptoms of anemia.

What are the complications of hemoglobin E trait?

Many people with hemoglobin E trait have no symptoms. Some may have complications
of anemia. If you and your partner both have hemoglobin E trait, you risk having a
child with hemoglobin E or related disease.

What can I do to prevent hemoglobin E trait?

Because hemoglobin E trait and related diseases are inherited, the only thing that
you can do to avoid the spread of it is not to have children with someone who is also
a carrier of hemoglobin E. Of course, this is a highly personal decision that you'll
want to talk with your partner and health care provider about.

How to manage hemoglobin E trait?

Most people with hemoglobin E trait and hemoglobin E disease will live a healthy,
normal life. Other than family planning, little management of the condition is needed.

Key points about hemoglobin E trait

Hemoglobin E trait an inherited blood disorder. This means it is passed down from
your parents.

Hemoglobin E trait is caused by a genetic defect and is rare.

Many people with hemoglobin E trait have no symptoms.

Most people with hemoglobin E trait and hemoglobin E disease will live a healthy,
normal life.

Next steps

Tips to help you get the most from a visit to your health care provider:

Before your visit, write down questions you want answered.

Bring someone with you to help you ask questions and remember what your provider tells
you.

At the visit, write down the names of new medicines, treatments, or tests, and any
new instructions your provider gives you.

If you have a follow-up appointment, write down the date, time, and purpose for that
visit.